| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.18 | $169.18 | $180.56 | |
Cigna
| Facility | $582.00 | $4,012.27 | $5,701.65 | |
Kaiser Permanente
| Professional | $147.32 | $187.64 | $316.60 | |
United
| Facility | $418.00 | $453.00 | $1,330.00 |